Healthcare Provider Details

I. General information

NPI: 1497166524
Provider Name (Legal Business Name): MEGAN N KLUCINEC RDN, LDN, CDCES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2014
Last Update Date: 08/19/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UPMC MAGEE-WOMENS HOSPITAL 300 HALKET STREET
PITTSBURGH PA
15213
US

IV. Provider business mailing address

416 CENTER NEW TEXAS RD
PITTSBURGH PA
15239-1820
US

V. Phone/Fax

Practice location:
  • Phone: 412-641-2941
  • Fax:
Mailing address:
  • Phone: 412-828-9798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License NumberDN001965
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: